Provider Demographics
NPI:1851086334
Name:CARMLIJA LLC
Entity Type:Organization
Organization Name:CARMLIJA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINOTTE-MARTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-406-0084
Mailing Address - Street 1:22336 106TH AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-2404
Mailing Address - Country:US
Mailing Address - Phone:718-208-6319
Mailing Address - Fax:
Practice Address - Street 1:22336 106TH AVE FL 1
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-2404
Practice Address - Country:US
Practice Address - Phone:718-208-6319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health